Report from the Washington Office

Report from the

v a te th e

fu n d s — th e ta b

W ashington O ffice

fo r

The show n

r e m a in in g

in te r m e d ia te

to

pay

c a re — an

o u t

th e

e s tim a te d

1971,

c o m p a re d

s p e n t

fo r

p e rs o n

g o v e rn m e n t

th e

th o s e

aged

65

D e fin in g

and H EALTH

CARE

S P E N D IN G

SURVEY

un d e r

"d ru g s The p e rs o n w as

a v e ra g e

65

$861

d u c te d

o r

o ld e r

in

a c c o r d in g

to

b y

tr a tio n . un d e r o n ly

19

w as

th e

S o c ia l

The

a v e ra g e

d u r in g

$140;

fa llin g

h e a lth

th e

th e

i l l

fo r

fis c a l a

s u rv e y

b

i l l

sam e

th o s e

a

tw o

y o u th

is s u e

o f

show s

h e a lth

th e

p u b lis h e d

S o c ia l

S e c u r it y

and

o ve r

a

p e r io d — fro m

fis c a l

1966

to

b re a k s

down

g ro u p s

m e n tio n e d

age b y

s o u rc e D e n ta l

A sp e n t y e a r

to ta l fo r

1971

($ 4 .4

o f

o f

$ 4 .6 6

a ll

b illio n )

age

b e in g

H o s p ita l

c a re

g ro u p s ,

$

o f

94% p r i­

by.

th ir d

h e a lth

aged

o f

fu n d in g

w e ll

P u b lic

4 1 .1 4

$

$ 1 9 .6 7 ? 1 5 8 .36 $ 1 0 6 .0 5

P r iv a te

m ake

up

th e

p a rt

com es

as

p r iv a t e

in

h e a lth

o u t-o f-p o c k e t

s ta te ,

and

th e

b ills

lo c a l

T o ta l

pay g o v­

r e m a in d e r .

w e re

p a id

65

and

P r iv a te

$ 5 2 .3 1 $ 4 0 9 .9 6 $

fo r

p r iv a te

p h ila n t h r o p y ,

AGE P u b lic

a b o u t

la r g e s t

d o lla r

p a r t ie s — g o v e rn m e n t,

1 9 -6 4

P r iv a te

3 /5 ;

s lig h tly

s o u r c e s — 64%

c o n tr ib u t e d h e a lth

th o s e

Funds

h e a lth

in s u r a n c e ,

T o ta l

2 1 .4 7

T o ta l

as

a c c o u n te d

p o p u la tio n ) .

p e rs o n s ,

F e d e r a l,

M ost

AGE

19

(th e

sp e n t h e a lth

th a n

o v e r,

1 9 7 1 — in c lu d in g

e rn m e n ts

fis c a l

w ith

o u t

UNDER

c a p it a

p r iv a te

in s u r a n c e

w as in

a ll

le s s

and

p re s e n t

p e rs o n a l

m e n ts .

b illio n

p a id

th e

fis c a l

expended.

1 /4

th e

19

a m o u n t;

l i t t l e 65

in ­

n a tio n

age

th is

S o u rc e s

fro m

as

a

a re

exp enses.

p e rs o n a l

un d e r o f

by

th a t

e y e g la s s e s

a ls o

th e

ex­

h e a lth

show s

h e a lth

fo r

c a re

fo r

r e c e iv e d

s u n d r ie s ,

1971

aged

th a n o f

F o r

th e

above,

s e r v ic e s

E x p e n d itu r e s p e r

b y

fu n d s

1 9 -6 4 , th o s e

10%

o f

S e r v ic e s

d e n tis ts ' b y

d a ta

1 /6

p e r

C a re

a r t ic le

b illio n

in

$16

$19

h e a lth

a p p lia n c e s "

P e rs o n s

B u lle tin ,

tre n d s

1971— and

as

re c e n t

s p e n d in g

th re e w e ll

a

d ru g

fis c a l

and

expenses

p e rs o n a l

a b o u t

aged

g ro u p s

in

as

$65

c a re .

m o re s u rv e y ,

s ix - y e a r

a b o u t

fo r

w as

$323. The

c lu d e d In

p e rs o n

age

and

h e a lth

con­

fo r

a

1971

A d m in is ­

p e r io d

fo r

and

a

y e a r

S e c u r it y

a v e ra g e

b e tw e e n

b

19,

s e r v ic e s

th e

c a p it a

a v e ra g e

H e a lth

c a re

w as

d e n ta l

o v e r.

" a ll

in d iv id u a ls ,"

fo r

up

m illio n

g ro u p

p e r

th e

p e rs o n a l

as

m e d ic a l

$27

and

P e rs o n a l

p e n d itu r e s

age m ost

w ith

p ic k e d $260

and

OVER P u b lic

5 6 .8 9 $ 3 5 3 .0 7

P h y s ic ia n s ' s e r v ic e s

D ru g s d ru g

4 4 .9 5

3 9 .8 8

5 .0 7

6 9 .2 5

6 0 .1 9

9 .0 6

1 4 4 .2 1

4 1 . 32

1 0 2 .8 9

1 9 .7 5

1 8 . 53

1 .2 2

3 6 .7 6

3 5 . 33

1 .4 3

8 6 . 98

7 3 .1 9

1 3 . 79

1 5 .6 6

1 4 .2 9

1 .3 6

2 7 .2 3

2 6 .1 4

1 .0 9

1 8 .6 1

1 6 . 97

1 .6 4

1 8 .4 2

8 . 15

1 0 .2 7

3 1 . 35

2 1 .5 6

9 . 79

2 0 1 .4 9

9 0 .4 0

1 1 1 .0 9

$ 1 3 9 .9 2

$ 1 0 2 .3 4

and s u n d r ie s

D e n t is t s ' s e r v ic e s

O th e r ( in c lu d e s n u r s in g TO TAL

hom es)

HEALTH

E X P E N D IT U R E S , F IS C A L 1971

YEAR

$ 3 7 .6 1 $ 3 2 2 .9 3 $ 2 4 9 .2 5

$ 7 3 .6 7 $ 8 6 1 .2 4 $ 2 7 8 .7 7 $ 5 8 2 .5 2

SOURCE

OF

ALL

FUNDS

P r iv a te

p a y m e n ts

P ir iv a te

h e a lth

in d u s tr y .

T h ir d

m e d ic a l

o f

th e

u n d e r

age

and

1966

1971

51%

37%

51%

41%

53%

26%

25%

25%

2 7%

33%

16%

6%

22%

36%

20%

24%

30%

68%

2%

2%

2%

2%

1%

65,

and

fo r

g le

ite m

a ll

age

75%

fo r

th o s e

H e a lth

S p e n d in g

s p e n d in g ,

th e

f e d e r a l,

s ta te ,

and

fu n d s

am ong

th e

e x a m p le ,

young

cam e

age

p u b lic

m o s tly

o f

h e a lth

m a te rn a l

and

g ro u p s

fo r

M e d ic a id

D e fe n s e

c a re

c h ild

in

m

p a y­

h e a lth

p ro g ra m s

tw o

fo r

p e rs o n s

th e

V e te ra n s

D e p a rtm e n t

The

la r g e s t aged

d iffe r s

D e fe n s e

fo r

in

fis c a l th e

y e a r

c h a se r

1971.

o f

has

As

a

th e

c a re

th e

1966

fu n d s

o f

s p e n d in g

p ro g ra m s , p u r­

s e r v ic e s

y e a r

b illio n

consequence

m a in

g ro w n

fo r

th e

s p ir a lin g tr ib u te d

c o r d in g

to

O u t-o f-P o c k e t The p o c k e t

aged

o f

h is

M e d ic a r e fo u rth

1966

and

in

h e a lth

b u t

c re a s e d

use

o f

th e

am ount he

($ 2 2 5 ) th e

is

to

s e r v ic e s

o n ly

am ount

in

b

i l l

o f

and

In f u ll

one th e

in ­

h ig h e r in

lo w e r

ve y

show s

p o c k e t 1966

p e rs o n s th a t

paym ent

to

under th e

y e a r

age

th e

g re w

65,

a v e ra g e

in

1971.

Types

o f

E x p e n d itu r e s

The

s u rv e y

show s

e x p e n d itu r e s fro m

in

fis c a l

th e

h e a lth

use

p u b lic

w ith

th e

c a re — con­ in

expen­

p e r io d ,"

ac­ by

In s u ra n c e

S e c u r it y

o f

q u a lity

re s e a rc h e d

H e a lth

$79

la r g e s t

fo r

o f

S tu d ie s

A d m in is tr a ­

G ro w th

y e a r

1967,

M e d ic a r e

c a re

s p e n d in g

ra te

o f

th e

1971

n e x t

saw

fiv e

s u r­

in

1966

ro s e

g ro w th

th re e

th e

th e

and

y e a rs ,

lo w e s t

ra te

y e a r s — 1 0 .9 %

f ir s t

M e d ic a id , 1 4 .1 % .

w as

o v e r

The

12%

to

and

fis c a l

o f

The

m ost

s ig n ific a n t

has

been

th e

fu n d s

(s e e

fro m

s h ift

13%

in c r e a s e

th e

p r e v io u s

o f

s p e n d in g

22%

in

1966

tre n d

in

a b o v e ).

s h a re

ro s e to

s in c e

s o u rc e W ith

M e d ic a r e

g o v e r n m e n t 's

h e a lth s in ­

T a b le

im p le m e n ta tio n c a id ,

th e

T re n d s

y e a r.

o u t-o f-

31% — fr o m

$104

y e a r.

in c r e a s e

a n n u a l

in

e a r lie r

fis c a l

y e a r

($ 2 3 4 ). F o r

th e

in te n s ifie d

h e a lth

fo r

d ir e c tly

s lig h tly th e

o f

S o c ia l

ra n k e d

p e rs o n a l

c a re

s u rv e y

F o l­

s u n d r ie s

a ll

s ix - y e a r

R a te

th a n

(b e fo re

a b o u t

p a id

th e

o u t-o f-

m o re

because

p r ic e s , 1971

fro m

M e d ic a id )

1971,

th a n

a v e ra g e

d ro p p e d

th e

to ta l.

a r e a — a lo n g

80%

th e

o f

s e r v ic e s ,

tio n .

P a y m e n ts

p e r s o n 's

paym ent

o f.

fo r

14%

s ta te s .

"In c re a s e d

and

an

D iv is io n

w ith in

th e d ru g

fo r

1971.

th is

to fo r

ro s e

s e r v ic e s

7%

h e a lth

p r ic e s

d itu r e s

th e

o f

S p e n d in g

c a re

th e

c a te g o ry

s ig n ific a n tly

in

p u rp o s e ,

o f

a r t ic le

im p r o v e m e n ts

h e a lth

th is

one

and

d e n tis ts '

to

s e r v ic e s ,

e ld e r ly

22%

e x p e n d itu r e s

have

h e a lth

p r e c e d in g

p h y s ic ia n s '

d ru g s

P e rs o n a l

th e

fo r

be

la r g e s t

w as

H e a lth

th a t

n a t io n 's

M e d ic a id

becom e

h e a lth

fro m

$ 1 7 .9

h e a lth

o f

a g e d .

h a lf

and

on

fo r

c a re — re p ­

p e rs o n a l

th e

r e p r e s e n tin g

th e

o f

P u b lic

th e

th e

and

and

fin a n c in g

o f

o f

M e d ic a r e

g o v e rn m e n t

th o s e

p ro g ra m s ).

g ro u p s . 68%

p ro g ra m s

( in c lu d in g

c a re

c a re

b e h a lf

o f

a re

s ig n ific a n tly

yo u n g e r

in

1 9 -6 4

h e a lth

h e a lth

a c c o u n te d

fe d e ra l

A d m in is tr a tio n

o f

d e p e n d e n ts '

s p e n t

(1 1 % ), 4 th ,

The

th e

w e re

1971

c a te g o r ie s ,

fo r

lo w in g

in

T a b le

y e a r,

second

a c c o u n tin g

and

a ll

to

g r o w in g p a s t

The

ilita r y

o f (s e e

e x p e n d itu r e s

HEW .

aged

le s s th a n 1%

h o s p ita l

E x p e n d itu r e s

th e

th e

p ro g ra m ,

45%

was

c o n tin u e s

fa s te s t

s e rv e d .

s p e n d in g

fro m

D e p a rtm e n t

d e p e n d e n ts '

lo c a l

w h ic h

m ix

e x p e n d itu r e

o u tla y s

p a g e ).

p u b lic

o f

g ro u p s

r e s e n tin g c a re

W ith in

m e n ts ,

o f

a b o u t

a b o u t p e rs o n s

p a id

c o s ts

o v e r.

v a r ie d

in

OVER

1971

p a r tie s

G o v e rn m e n t

th e

and

o th e r

60%

F o r

65

1966

P h ila n th r o p y

o f

65

1971

G o v e rn m e n t

65

UNDER

1966

in s u r a n c e

and

AGES

o f

and

o f

th e M e d i­

p e rs o n a l

c o n s id e r a b ly — 36%

in

1971.